Nursing Best Practice Guidelines: reflecting on the obscene rise of the void

Journal of Nursing Management
Dave HolmesJanet McCabe

Abstract

Drawing on the work of Jean Baudrillard and Michel Foucault, the purpose of this article is to critique the evidence-based movement [and its derivatives - Nursing Best Practice Guidelines (NBPGs)] in vogue in all spheres of nursing. NBPGs and their correlate institutions, such as the Registered Nurses' Association of Ontario (RNAO) and 'spotlight' hospitals, impede critical thinking on the part of nurses, and ultimately evacuate the social, political and ethical responsibilities that ought to distinguish the nursing profession. We contend that the entire NBPG movement is based on the illusion of scientific truth and a promise of ethical care that cannot be delivered in reality. We took as a case study the Registered Nurses' Association of Ontario (RNAO), in the province of Ontario, Canada. NBPGs, along with the evidence-based movement upon which they are based, are a dangerous technology by which healthcare organizations seek to discipline, govern and regulate nursing work. Despite the remarkable institutional promotion of 'ready-made' and 'ready-to-use' guidelines, we demonstrate how the RNAO deploys BPGs as part of an ideological agenda that is scientifically, socially, politically and ethically unsound. Implications for nurs...Continue Reading

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Citations

Jun 19, 2012·BMC Health Services Research·Johan BergströmIsis Amer-Wåhlin
Oct 21, 2011·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Kelly K O'BrienPatricia Solomon
Aug 12, 2010·Journal of Health Organization and Management·Sarah Wall
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Oct 15, 2013·Journal of Clinical Nursing·Pamela J Wood, Katherine Nelson
May 15, 2010·Journal of Nursing Management·Peter O'HalloranBronagh Blackwood
Nov 21, 2013·Journal of Clinical Nursing·Kristín Björnsdóttir
Mar 5, 2014·Public Health Nursing·Lorraine AthwalMarg LaSalle
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Nov 12, 2015·Journal of Health Organization and Management·Ann DadichHassan Hosseinzadeh
Aug 22, 2018·Journal of Forensic Nursing·Fiona Jager, Amélie Perron
Apr 17, 2012·Journal of Biomedicine & Biotechnology·Tiegang LiMin Zhao
Aug 14, 2020·Policy, Politics & Nursing Practice·Zvika Orr, Shifra Unger
Dec 3, 2016·Physiotherapy Canada. Physiothérapie Canada·Mirella VerasNicole Paquet

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